Individual
DR. VINCENT R FACCHIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
E265 CHERRYVALE MALL, ROCKFORD, IL 61112
(815) 332-2223
(815) 332-4488
Mailing address
E265 CHERRYVALE MALL, ROCKFORD, IL 61112
(815) 332-2223
(815) 332-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007568
IL
Other
Enumeration date
05/23/2006
Last updated
03/07/2023
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